Video & Transcript : 'claims managers' :

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TX

Texas 89th Regular

Insurance Mar 19th, 2025

Insurance

Transcript Highlights:
  • We administer a claims warehouse where we have all of our medical and pharmacy claims.
  • We do support the claims database.
  • The LPR claims database does include claims data specific to nurses and physicians and to hospitals.
  • IRS's claims, TRS's claims, and Medicaid's claims sit over in that all-payer claims database. that is
  • I mean, this is claims data. Claims that the providers have. turn to us that we pay them.
Bills: HB138 , HB335 , HB388 , HB138
Committee: House Insurance
TX

Texas 89th Regular

Insurance Mar 19th, 2025

Insurance

Transcript Highlights:
  • I want to touch a couple of things, one with regard to the All-Payer Claims Database.
  • And I think there's some confusion amongst stakeholders as to whether or not the all-payer claims. database
  • that lists out... the information that the APCD can pull from. only information that's include the claims
  • I'm not sure, and again, it would be a question. for the APCD staff, whether they could use claims data
  • employers because they could they would not have to pay claims within 45 days.
Bills: HB138 , HB335 , HB388 , HB138
Committee: House Insurance
LA

Louisiana 2026 Regular Session

Judiciary May 7th, 2026

Judiciary

Transcript Highlights:
  • Talks about the filing, case management, and related technology.
  • So what that means is this: We have a veteran who goes in to file his claim or her claim.
  • Federal law is very clear: you cannot make money off of an initial claim.
  • It allowed those claim sharks to make a lot of money.
  • What is happening with these claim sharks is against federal law.
Bills: HB302 , HB371 , HB597 , HB1097 , HB1190 , SB34 , SB164 , SB208 , SB232 , SB317 , SB357 , SB421 , SB510
Committee: House Judiciary
FL

Florida 2026 Regular Session

Appropriations Mar 2nd, 2026

Appropriations

Transcript Highlights:
  • This is a settled claim with... Thank you, Mr. Chair.
  • Michael Cantenz, representing PCMA, the Pharmaceutical Care Management Association.
  • the extent of improper payments or the nature of enrollee claims.
  • Under tab 20, we'll take up HB 5207 by the Department of Management Services.
  • statewide Medicaid managed care can contract based solely on infant mortality.
Bills: S0006 , S0026 , S0206 , S0532 , S0576 , S1012 , S1110 , S1178 , S1192 , S1758 , S1760 , S7046 , S7048
Summary: The Appropriations Committee met and considered a large agenda of bills, reporting several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and the estate of Leila Estrada and Sapphire Williams, which was approved for $3.8 million. The committee also passed a cybersecurity internships bill creating a Department of Commerce program with Cyber Florida, and SB 532, which lets clerks of court retain the full amount of certain excess revenue and clarifies foreclosure-sale procedures. Veterans housing measures, CS for CS for SB 1602 and SB 1604, were approved to create a pilot program and a related trust fund for vacancy relief and risk mitigation for veteran housing. The committee also favorably reported SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics, with emotional testimony from a student and family describing the high cost and importance of activity-specific prosthetics. Members also approved CS for CS for SB 1012 after adopting an amendment that removed inmate emergency and specialty medical service compensation provisions while retaining changes to the contractor-operated institutions inmate welfare trust fund. Another bill, CS for CS for SB 1614, was narrowed by a delete-all amendment to focus on limiting the use of excess fees for new building construction by local governments. All of these measures were reported favorably after brief debate, with some support testimony submitted in writing or waived. The most extensive discussion centered on CS for CS for SB 17, a major Medicaid and public assistance overhaul. The bill would create a Joint Legislative Committee on Medicaid Oversight, allow the Legislature to retain its own actuary, tighten Medicaid program oversight, update encounter-data reporting, set performance standards for managed care plans, revise pharmacy benefit manager rules, and require DCF to implement SNAP fraud-reduction and payment-accuracy reforms, including photo IDs on EBT cards and updated work requirements. It also would direct agencies to seek federal waivers for Medicaid work requirements for able-bodied adults and expanded behavioral health services. After lengthy questioning and testimony, the committee adopted amendments adding a transitional medical benefits glide path for people who gain employment and later lose Medicaid eligibility, and exempting hospice patients with six months or less to live. Supporters argued the bill would improve accountability, reduce fraud, and save money, while opponents warned it would create administrative burdens, increase paperwork, and cause eligible people to lose coverage or food assistance. The committee ultimately reported the bill favorably as amended.
FL

Florida 2026 Regular Session

Governmental Oversight and Accountability Feb 11th, 2026

Governmental Oversight and Accountability

Transcript Highlights:
  • required to deliberate litigation strategies in public during the 90-day pre-suit period in a Burt Harris claim
  • Litigation strategies in public during the 90-day pre-suit period in a Burt Harris claim.
  • , deputy city managers, and assistant city managers, as well as the names and telephone numbers and places
  • It clarifies how public employers manage leave time for employees engaged in union-related activities
  • I just want to say that I'm a project manager for the city.
Bills: S0332 , S0464 , S0576 , S0830 , S0964 , S0984 , S1096 , S1296 , S1298 , S1612 , S1656
Summary: The committee first heard a committee substitute for SB 332, which creates a narrow public meetings and public records exemption for certain pre-suit settlement communications in Bert Harris claims involving local governments and private property rights. The sponsor said the change is intended to allow confidential legal strategy and negotiation during the 90-day pre-suit period while keeping settlements and outcomes public. The strike-all amendment was adopted, supportive testimony was waived in, and the bill was reported favorably. Members then approved several other measures, including SB 464 requiring K-12 schools to formally observe Veterans Day as a school holiday; SB 984 on firefighter cancer benefits and prevention, which was amended to add a statement of important state interest and reported favorably after testimony from firefighters both supporting the bill and urging a longer benefit window; SB 576 on local government cybersecurity, which was amended to route the program through the Florida Digital Service and strengthen state-local coordination; SB 964 clarifying how certain gift and honoraria disclosures are filed with the Commission on Ethics; SB 1612 requiring local governments to accept electronic payments with a delayed effective date; SB 830 creating public records exemptions for certain local government administrators and their families; SB 1096 clarifying the filing deadline for employment discrimination complaints; and SB 1656 designating the SS American Victory as Florida’s official state flagship. All were reported favorably. The committee also considered a slate of appointments, including a separate vote on Jeffrey Aaron to the Public Employees Relations Commission, which was recommended favorably after Senator Polsky objected to the appointment and cited concerns about political ties and prior work. The remaining appointees on tabs 12 through 30 were also recommended favorably. After a recess, the committee took up SB 1296 on the Public Employees Relations Commission, as substituted by a committee PCS. The PCS would change union certification and recertification rules, require stronger showing-of-interest and voting thresholds, limit paid union leave in some cases, require equal access to employer communication spaces, and speed up impasse procedures for state-funded salary increases. The bill drew extensive testimony, with supporters arguing it would improve accountability, transparency, and taxpayer fairness, and opponents—many of them teachers, bus drivers, and other public employees—saying it would weaken collective bargaining, burden workers, and function as union busting. Members raised constitutional concerns about the single-subject rule and collective bargaining protections, and debate was ongoing at the end of the transcript.
OK

Oklahoma 2026 Regular Session

Public Safety Feb 3rd, 2026

Public Safety

Summary: The committee first heard Senate Bill 1226 by Senator Rader, which would add property damage to the state’s leaving-the-scene statute so a driver who damages property and leaves would be treated similarly to a vehicle accident. After brief questions about whether the driver would need to wait for law enforcement or the property owner, the bill advanced unanimously, 6-0. Several sunset-extension bills from Senator Burstrom were then considered. Senate Bill 1456 would extend the Board of Tests for Alcohol and Drug Influence to 2036 and passed 6-1. Senate Bill 1462 would extend the Oklahoma Organized Retail Crime Task Force to 2036; members questioned whether a task force created in 2023 needed such a long extension, but it still passed 6-2. Senate Bill 1463 would extend the Polygraph Examiners Board to 2036 and passed 8-1, with some members again objecting to the 10-year sunset length. The committee also advanced Senate Bill 1980 by Senator Logan, which updates larceny and forgery language to cover gift cards, gift certificates, and redemption information when possessed or used with intent to defraud. Members pressed the author on whether the offense would be a misdemeanor or felony and on the bill’s scope, but the measure passed 7-2. Senate Bill 1479 by Senator Stewart, dealing with release of crime- and collision-scene information by first responders, was amended to strike the title after concerns about scope and private entities; it then passed 6-2. Senate Bill 1608 by Senator Frick, as amended, would make school location and employer information searchable in sex offender and violent offender registries, and it passed 6-2. Finally, Senate Bill 1923 by Senator Murdoch would prohibit inmates from accessing social media, prompted by a constituent’s concerns about inmates contacting victims’ families through contraband cell phones. Members questioned whether the bill was necessary given existing DOC policies and whether it should address tablets as well; an amendment was withdrawn, and the bill passed 7-1. The committee also laid over Senate Bill 1612 and concluded its Public Safety agenda for the week.
AZ

Arizona 2026 Regular Session

02/04/2026 - Senate Regulatory Affairs and Government Efficiency

Regulatory Affairs and Government Efficiency

Transcript Highlights:
  • Kelsey: ...where they're able to claim that their jurisdiction before they take the test is Wisconsin
  • It is actually managed out of Yuma by Annette, who runs the Yuma Humane Society.
  • State Farm has those adjusters that adjust claims here and in every other state in the country.
  • They are claiming that this bill is unsafe.
  • They claimed this was to protect privacy and avoid discrimination, arguing that listing male or female
TX
Transcript Highlights:
  • Actually, 25% of those claims would go back over a year.
  • Say that one more time. 25% of the claims would go back over a year.
  • Yeah, and you can go all the way back to the beginning of the law on the mediation claims.
  • You can go back to January 1 of 2020, and you can still submit a claim.
  • So we could be here 20 years from now, and you could still be submitting a claim.
TX
Transcript Highlights:
  • My name is Robert McDormand, and I'm a claims specialist. I'm here representing our claims.
  • Of these nine claims, we collected $41,000, which is an average of over $4,600 per claim.
  • made a difference of over $5,000 on repair claims and almost $4,000 on total loss claims.
  • on the management of those funds.
  • Sometimes they even deny claims over that. and don't pay their claims.
AL

Alabama 2026 Regular Session

Alabama House Boards, Agencies and Commissions Committee Feb 25th, 2026

Boards, Agencies and Commissions

Transcript Highlights:
  • Within those industries, you also have different employee functions, whether that's management, labor
  • Within those industries, you also have different employee functions, whether that's management, labor
Bills: HB462 , HB477 , SB210 , HB462 , HB477 , SB210
WA

Washington 2025-2026 Regular Session

House Consumer Protection & Business Jan 30th, 2026 at 08:00 am

Consumer Protection & Business

Transcript Highlights:
  • this bill, but Section 31, of course, is of concern because cities need to have the authority to manage
  • this bill, but Section 31, of course, is of concern because cities need to have the authority to manage
OK

Oklahoma 2026 Regular Session

Criminal Judiciary Feb 10th, 2026 at 03:00 pm

Criminal Judiciary

Transcript Highlights:
  • Lark, Vice Chair Harris, I protect more, I manager III.
  • Hari, I protect more, I manager I. Close the queue to clear the vote. Received a due pass.
  • Manager, hairs eye. Declare the vote. He received a majority vote.
  • Manager, eye Harris, eye. Declare the vote. We'll see a majority vote. We will support your bills.
  • Manager I Harris declares the vote. We received a jury vote.
OK

Oklahoma 2026 Regular Session

Criminal Judiciary Feb 10th, 2026

Criminal Judiciary

Summary: The committee considered a series of criminal justice bills, many of them focused on penalties for theft, public safety, and offenses involving foreign ownership or riot-related conduct. House Bill 3765, as amended, increased the punishment from two to five years for certain felony conduct involving unlawfully acquired foreign land ownership, and was reported do pass. House Bill 4324, a prosecutor-initiated resentencing bill, was also reported do pass after brief explanation and no opposition. Other bills approved included HB 3678, expanding the definition of public officials to cover municipal and public school board members for purposes of harassment/intimidation protections; HB 417, increasing penalties for theft causing environmental damage from crude oil or gasoline; HB 3495, criminalizing straw purchases of land for foreign nationals; HB 3040, expanding “zone of safety” protections for children by adding places like skating rinks, youth recreation centers, pools, arcades, amusement parks, and water parks; HB 362, extending firearm-carry authority to retired municipal judges; HB 4140, creating a uniform felony penalty for firearm theft and possession of stolen firearms; HB 4106, lowering the grand larceny threshold to $900 and adding penalties for repeat petty larceny; HB 4109, creating a duty to report certain crime-related evidence and circumstances at hospitals and other facilities; and HB 4104, restructuring peeping-tom/voyeurism offenses and sex-offender registration consequences. Several of these bills were amended before passage, including HB 4106 and HB 4104, and HB 3581 was taken up later with a committee substitute and amendment before discussion of its riot-related provisions. The committee also laid over HB 3497 and HB 4142, and adjourned after reporting the remaining bills out with mostly unanimous or near-unanimous votes, typically do pass or do pass as amended.
TX

Texas 89th Regular

Insurance Apr 30th, 2025

Insurance

Transcript Highlights:
  • A claim is a formal notice sent to the insurer or the party involved before a lawsuit is filed.
  • Without insurance, it would have cost her $22 when we process the claim through...
  • That's a $119 difference just because of the way the claim was processed.
  • Utilization review that we created under this bill is for laboratory claim reviewers.
  • Claims without the accountability safeguards designed to protect patients and physicians.
Committee: House Insurance